Title PB3 - NP 3 - STUDENT COPY.docx ✅

3 | Page 32. Nurse Heme percusses the patient’s posterior lung fields. Which sound is expected in normal lung tissue? A. Tympany B. Resonant C. Hyperresonant D. Dullness 33. While auscultating lung sounds in a healthy adult, Nurse Heme hears soft, low-pitched sounds over most lung fields. What breath sound is the nurse most likely hearing? A. Stridor B. Wheezes C. Rhonchi D. Vesicular 34. Nurse Heme places her hands on the patient’s posterior chest wall and asks them to say “eee eee eee”. This is an assessment of: A. Tactile Fremitus B. Bronchophony C. Egophony D. Whispered Pectoriloquy 35. Nurse Heme assesses a COPD patient presenting with a prolonged expiratory phase and uses accessory muscles during breathing. Which breathing pattern is expected in this patient? A. Kussmaul’s Respiration B. Diaphragmatic Breathing C. Cheyne-Stokes Respiration D. Biot’s Respiration Situation: Nurse Reed is an ER nurse assessing several patient with respiratory problems. 36. A patient with a specific phobia is brought to the emergency department hyperventilating after an anxiety attack. The patient’s ABG result is most likely: A. Metabolic acidosis B. Respiratory acidosis C. Metabolic alkalosis D. Respiratory alkalosis 37. Which scenario may cause iatrogenic respiratory acidosis? A. Breathing into a brown paper bag B. Excessive oxygen administration in COPD C. Ongoing hemorrhage D. Hypoxemia Situation: Nurse Reed, an emergency department nurse, has been floated to the medical-surgical ward for the day. One of her assigned patients is a teenage male recently admitted with a diagnosis of allergic rhinitis. He reviews care plan and prepares to provide patient education. 38. Which of the following clinical manifestations would he expect to find in the patient with allergic rhinitis? A. Thick yellow nasal discharge, fever, and sinus tenderness B. Persistent cough, night sweats, and wheezing C. Sneezing, clear nasal discharge, rhinorrhea D. Productive cough, chest pain, and shortness of breath 39. The physician prescribes cromolyn sodium for the patient with allergic rhinitis. Nurse Reed instructs the client that the medication is most effective when used: A. At the onset of symptoms, 2-3 doses per day B. Every morning, once a day C. One week before the allergy season begins D. At night, once daily 40. Nurse Reed has returned to the emergency department and is assigned to care for a child who has been brought in with difficulty breathing. The child has a known history of asthma and is currently experiencing an acute episode. Which of the following breath sounds is most expected during assessment? A. Coarse rales B. Wheezing C. Ronchi D. Fine Crackles 41. Nurse Reed is reviewing medications used in the treatment of asthma. Which of the following drugs is typically indicated for immediate relief during an acute asthma attack? A. Theophylline B. Cromolyn Sodium C. Salbutamol D. Prednisone Situation: Nurse Sue is an ICU nurse caring for a patient with a tracheostomy who has thick secretions, audible gurgling, and oxygen saturation of 90%. 42. Based on this assessment, which nursing diagnosis is most appropriate? A. Impaired gas exchange B. Ineffective airway clearance C. Risk for aspiration D. Ineffective breathing pattern 43. What is the primary purpose of a tracheostomy procedure? A. To establish an airway B. To provide nutritional route C. To monitor hypoxia D. To prevent pulmonary embolism 44. Another patient with a tracheostomy appears frustrated and anxious when trying to speak. Nurse Sue recognizes this behavior is most likely related to which nursing diagnosis? A. Ineffective airway clearance related to thick secretions B. Disturbed thought process related to difficulty comprehending communication C. Impaired verbal communication related to physical barrier from tracheostomy D. Social isolation related to inability to speak Situation: Nurse Lorelai is assessing a Chronic Obstructive Pulmonary Disease (COPD) patient with a long history of smoking. She evaluates the patient’s physical condition, provides discharge instructions, and reinforces knowledge about disease management. 45. During physical assessment of a patient with COPD, which chest shape would Nurse Lorelai most likely observe? A. Flail Chest B. Funnel Chest C. Pigeon Chest D. Barrel Chest 46. Which thoracic measurement finding supports the above- mentioned condition? A. Anteroposterior diameter is less than transverse diameter B. Anteroposterior diameter equals than transverse diameter C. Transverse diameter is smaller than normal D. Anteroposterior diameter is absent 47. While teaching the patient with COPD about lifestyle modifications, which statement indicates a need for further teaching? A. “I should eat small, frequent meals that are high in fat and protein.” B. “I need to avoid foods that increase carbon dioxide production, like carbohydrates.” C. “I will increase my fluid intake to thin secretions.” D. “I should avoid all physical activity to conserve energy.” 48. During discharge teaching, Nurse Lorelai reviews breathing techniques to manage dyspnea at home. Which patient statement indicates effective understanding? A. “I will take short, shallow breaths through my nose to conserve energy.” B. “I will lie on my right side and breathe deeply when I feel short of breath” C. “I will hold my breath after inhaling to increase oxygen absorption” D. “I will practice pursed-lip breathing to help slow my breathing and reduce panic” 49. The patient requires oxygen therapy with a precise and low concentration of oxygen. Which oxygen delivery device is most appropriate? A. Nasal Cannula B. Simple Face Mask C. Venturi Mask D. Non-Rebreather Mask